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Home My WebLink About036-1007-30-000 0 to O 3-0 n d ~1 O d O T d O I ~ cp CD U) 3 O N 0 O ~ A(D ~ W OW `G ( (yD p (D O (D N O co CD CL E :z V N ` 1\ ! d W N A O CL o m (OD CD CD 0 1CJ, j o o 0 0 3 (n w °o p m CD - (D ~ III: cn < D a CD CD cn CL CP c 3 O o c~ L 0 - wn s' i z F~ 00 lz D o m m o r co 4 --4 in O c O (D Z 0 0 0 w v z 0 0 0 o n r2 0 ai y 1o N Z CD 0- 3 v v v o C7 d II d N _ O (L] !ti < d N -4 A N A Z W z CD 0 C) O D a :3 !V O (D N (n C CD (D Fq, W (D CL a- 3 Z (D -i fn O A Z (D C') A Z O v a +n Q. Z w W * C2 O , - Z 3 a ;u c FF c H m g z CD I o a (D o p_ I m cn o - C T O) co C N - co 0 oz CL Z O o m CD (n 5 . 7 y N CD S CD T A O f7 'C O 7 O N N C2. co X I O O N 7 A V Q N CD °o A O b (D 0 p Oo ti 6, O Oo O ` ays ~ Al Parcel 036-1007-30-000 11/27/2006 11:31 PAGE 1 OF 1 F 1 Alt. Parcel 3.31.17.46C 036 - TOWN OF STANTON 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 - HESSELINK, RICHARD A & DONNA L RICHARD A & DONNA L HESSELINK 1755 235TH AVE DEER PARK WI 54007 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 1755 235TH AVE SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 4.980 Plat: N/A-NOT AVAILABLE SEC 3 T31 N R17W 4.98A IN NW SE LOT 2 CSM Block/Condo Bldg: VOL 2/441 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 03-31N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 790/380 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/05/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.980 25,000 153,900 178,900 NO Totals for 2006: General Property 4.980 25,000 153,900 178,900 Woodland 0.000 0 0 Totals for 2005: General Property 4.980 25,000 153,900 178,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 120 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i • AS BUILT SANITARY SYSTEM REPORT Z TOtTNSHIP <; , 4 SEC. _3 T,,) LN, RW - ADDRESS , ST. CROIX COUNTY, WISCONSIN. [VISION LOT LOT SIZE PLAN VIEW Distances b dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM t I I I I I i ~ ~ ~ I ~ ' I I i I I L ~ I ' ~ I ! I j i I ~ I I 4s I i HI~ ~ I I t I I ~ I I i ~ ~ ( M ~ , ) I i ! ~ I I i i ~ Indicate A~Ltow C TAIvK(S)_~_ MFGR. f_CONCRETE_~ STEEL Scale N0. or rings on cover Depth DRY WELL HES NO. of width length area o. of lines width_j2L' length area j9 dept;i to top of pipe__, GATE RATE, AREA REQUIRED ~i z ' AREA AS BUILT aimer: The inspection of this system by St. Croix County does not imply complete dance with State Administrative Codes. There are other areas that it is not possible spect at this point of construction. St. Croix County assumes no liability for m operation. However, if failure is noted the County will make every effort to cane cause of failure. ES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEI'I. `INSPECTOR DATED PLU: DER ON JOB LICENSE NILT113ER~~ ~w. z RtPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM SanitaAy PvLvii,t ' State S e p,t-ic NAME (own<sh.ip ST. CAo.ix County Location Section SEPTIC TANK Size gatton.A. NumbeA o6 CompaAtmentz D.ibtanee F)iom: WeZZ 6t. 12% oA gAeatet stope _6t Bu.itd.ing 6t. Wettandh • H.ighwateA 6t. DISPOSAL SYSTEM D.ibtanee FAom: WeU 6t. 12% oA gneateA ~stope _6t. Bu.itd,ing 6t. Wettands _Ft. H.ighwatvL 6z. FIELD DIMENSIONS: Width o6 ttench 6t. Depth o6 Aock below Cite _in. Length o6 each Zine 6.t. Depth o6 Aock oveA t,ite in. NumbeA o6 tines Depth o6 tiZe below gtcade _.in. TotaZ length o6 Zinezs 6t. S.to pe o j tAench in peA 100 6t. Distance between Una 6t. Depth to bedAock 6t• Totat absonbtion atcea 6t2 Depth to gAoundwateA ~C't. 2 peeA oA Stt,aw • RequiAed aAea it Type o6 CoveA: Pa PIT DIMENSIONS: NumbeA o6 pits GAaveZ aAound pitz yets_ no Outz ide d.iameteA 6t. Depth below ,inlet it. 2 Total abzoAbtion atc.ea 6t z A 2 AAea Aequ~,Aed 6t INSPECTED BY TITLE APPROVED ,DATE 197. REJECTED DATE 197. i. 'EH 115 Rev. 9178 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION:_4~&_'/4, Y L•_'/a, Section_-1; J-,~LLN,1314U (or) W, Township or Municipality Lot No. , Block No. V County D i Iubdivlsi n Name Owner's/Buyers Name: f~~C wnlre Mailing Address: RR ~J*AJ C- Ynn a k5 C S TYPE OF OCCUPANCY: Residence _ No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW _REPLACEMENT -ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS S -/1) - 72 PERCOLATION TESTS 57- /1- 9 SOIL MAP SHEET NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES DEPTH CHARACTER OF SOIL RATS C NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IR~ i BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- - , _ 3 3 1 ~P- y V/ .401 _x.r t) 7 ? 7 P- -3 o_ 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- I > - s B- B- S.4 6 Z2 _ 9 5 B- Z j-7;.-.- S' B- ? sr . ' B- 96 s s 9, t" 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. T ~ j -7 77-Z-7 A ~.EI PCB/ ire E mn 4k A''.,__~ _ N r e- E a ~ e -4j C. E - I r v 1, 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. r Name ?print).. 421)~-; ,,ri,7,P x, Certification No., S-6- Address hi t Name of installer if known CST Signature Copy A -Local Authority !yGts~ ' ~t"`1° _ a PLB-67 State and County State Permit # ' w Permit Application County Permit # 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: 1 7 B. LOCATION: 1 YQ_„~ Ya, Section T-14 N, R j/ (or) W ~Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township _~%4Noi1n~ C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons D- SEPTIC TANK CAPACITY (-,Ac'? Total gallons No. of tanks / HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete _i 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 Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: Length h~_Width. DepthZE2 Tile depth (top)-22'_No, of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land- Distance from critical slope WATER SUPPLY: Private Je 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 Tes NAME C.S.T. # and other information obtained from (owner/builder). Plumber's Signature MP/MPRSW# Phone Plumber's Address , >'Z 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. t ,2"'.%) ej , - „ Vic? s v ~ Qf7 t 1 l . A 9s, I 1 , Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application, Fees Paid: State County Date Permit Issued/R""""ejected (date) Issuing Agent Name Inspection Yes No State Valid# Date Recd 1. county (w kite 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