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Home My WebLink About030-1018-80-000 m co m 'o C 3 3 0 y ° v v, O En w N ID O (D fD N fJ N O lAl (D N CL A Z n` N O N ~ O M 1 N a- 7 O W (0/) 7 (D S CO W O 0`° O COD n L 0 O 3 O 3 N 3 j O N C ~ ii O `J O CD CD m (n D ° v a CD m a ~ D = N W N C CD O O O. 3 O W 00 O W CD iz --z CD CD co (o 0 r- cn 00 co O C O~ C !r N O z * * * 0 z C') n can vii can o D o v v v o ° (D CD N E; W N ' 'O T !V C d N 00 N ( rn a Z N zco z o CD 0 v O D O N 1 N (O N' C O O a 3 7 Z N -4 fn O O ? Z 0 N C .a ~ CL A C) Z cn W v N c z CL 3 o 0 C f* z N Z A W CL C ~ G O ~ C z a o CD I ~ a i 4a I ~ 3 o- m 0 I ti 0 0 ON A O I O q W O dQ N e» O O O *G a O a. ti Parcel 030-1018-80-000 09/05/2006 09:18 AM PAGE 1 OF 1 Alt. Parcel M 05.29.19.79B 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): O = Current Owner, C = Current Co-Owner O - MICHAELSON, JAMES R & RUTH JAMES R & RUTH MICHAELSON 1180 42ND ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1180 42ND ST SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 3.320 Plat: N/A-NOT AVAILABLE SEC 5 T29N R19W NW NW LOT 1 CSM 3/846 Block/Condo Bldg: ASSESSMENT INCLUDES P79E Tract(s): (Sec-Twn-Rng 401/4 1601/4) 05-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.320 30,100 136,400 166,500 NO PRODUCTIVE FORST LANDS G6 3.170 109,200 0 109,200 NO Totals for 2006: General Property 6.490 139,300 136,400 275,700 Woodland 0.000 0 0 Totals for 2005: General Property 6.490 139,300 136,400 275,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 504 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 030-1018-95-001 09/05/2006 09:19 AM PAGE 1 OF 1 Alt. Parcel 05.29.19.79E 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): O = Current Owner, C = Current Co-Owner O - MICHAELSON, JAMES R & RUTH JAMES R & RUTH MICHAELSON 1180 42ND ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: 1441-CSM 05/1441 SEC 5 T29N R19W NW NW LOT 4 CSM 5/1441 Block/Condo Bldg: LOT 4 ASSESSED WITH P79B Tract(s): (Sec-Twn-Rng 401/4 1601/4) 05-29N-19W NW NW Notes: Parcel History: Date Doc # Vol/Page Type 08/01/1997 1246/410 WD 07/23/1997 912/30 07/23/1997 693/311 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 030-1018-80-000 Valuations: Last Changed: 08/01/1997 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 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 REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM Sani. :any PQAmtit State. Septic NAME Thip 01 St. Ctoix County Loc_a ?onZ Section Lod # S bdtian SEPTIC TANK Size gaeeon~ NumbeA o4 eampaA,tmen.tb D 'Ata-nee ~,Aom: Wef -E Butif-ding 12% sdope HighwateA PUMPING CHAMBER size. _gatton,.. Pump Manu4aetuneA Mode.E NumbeA HOLDING TANK Size gaeton6 NumbeA o6 CompaAtment,6 Pumpe.A Afa,,Lm System Dtibzanee (AOm: Glee Building 120 sZope Highwa.teA ABSORPTION SITE Bed TAeneh DiStanee 4Aom: Wet- Bui ding f2o seope H.LghwateA ABSORPTION SITE DIMENSIONS Width o o zAe neh_ 4t Req utiAed arcea 6.t Length of each Stine. {t Depth oA Aock below ,tile Numb en a{ Eti4q.e6 ' Depth o6 Aock oven Life I.n To,tat Zeng,th o4 roes / 4t Depth oA tite below gAade ~n Vi6tance between f-ines 6z Shope o6 tteneh. in. pet 100 6t Totat abs oA tion aAea p 4t Type aA Coven: PapeA ari 6tAaw ~ PIT DIMENSIONS NumbeA o (j pi t,5 GAavet atound pi t6 ye/s no Out.6tide di ameteA {t Depth befaw intet ft Totat ab6oAptioo aAea AAea LequiAe.d At INSPECTED B ` TITLE APPROVED DATE ZU 198 d~ REJECTED DATE 198 REASON FOR REJECTION I l r ` fl l: s I t. i ' i j I I a i w ;I1 1 i APPV?9>9i ~ r iCC` t1(1~ INLET rc, J)PRJAj 6'ICi.(J ' fvtc'. E q gn REPORT ON INSPECTION OF SANITARY PERMIT # c;~ (1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection Pame, ress, icense o. o Installing plumber Time of Inspection (3 )INSTALLATION CONSISTS OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point: Slope at site: (5)MATERIAL AND DEPTH OF SEWER: (6)SEPTIC TANK: Manufacturer: Liquid Capacity: Tank Inlet Elevation: Tank Outlet Elev: # ft to lot or property line: # ft to well: M DOSING TANK: Manufacturer: # of gallons: # of gallon pump set for a cycle gallons; total capactiy of distribution lines gallon; size of pump head; gallon per minute ; horsepower ; brand name of pump and model number Is the warning device installed? ❑ YES ❑ NO Wired? ❑ YES ❑ NO 8 HOLDING TANK: Manufacturer o gallons construction ; depth to the cover ft; If septic tank is being used are baffles removed? ❑ YES ❑ NO; ft from residence; ft from well; ft from property line. Type of warning device Is the warning device installed? ❑ YES ❑ NO; Wired? ❑ YES ❑ NO; Locking device on cover? ❑ YES ❑ NO; Diameter of vent and material ; Distance from building to vent (9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth; ft to residence; ft to well; ft to property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than seepage pit inlet pipe-elevation ft; bottom of seepage pit elevation ft. (10) SEEPAGE BED SIZE: ft width; ft length; tile depth; lineal feet tile; ft to residence; ft to well; ft to lot or property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches Elevation of tank discharge line entering bed ft. 11 SEEPAGE TRENCH: Total length of seepage trench ft; width ft; tile depth ft; ft to well; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches; elevation of tank discharge line entering seepage trench ft. (12) Has system been installed in area indicated on EH 115? ❑ YES ❑ NO (13) Has system been installed in floodway? ❑ YES ❑ NO Floodplain? ❑ YES ❑ NO DILHR-SBD-6095 N.05/80 Signature of Inspector: ZH .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:" '/4,4/9//4, Section T2 N,RZtL2E (or) W, Township or Municipality ,c Lot I Block No.-t",4C1PFS ' ~~8t~~vsBFl~°Cl!q 7'1L6County/ -~1 Subdivision C//~/,(r ~/G 7_ Name Owner's/Buyers Name: Mailing Address: kZ 'e S YG'l - TYPE OF OCCUPANCY: Residence KNo. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS `T( ELX 2- / f ~ I PERCOLATION TESTS J OLX 2-S' /X z z SOIL MAP SHEET NAME OF SOIL MAP UNIT A41 CZ AftfeXV PERCOLATION TESTS TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES DEPTH CHARACTER OF SOIL RATE NUM- SINCE HOLE HOLE AFTER INTERVAL MIS!/li'li INCHES THICKNESS IN INCHES PERIOD 1 PERIOD 2 PERIOD 3 BER 1ST WETTED SWELLING IN MINUTES " P_ 2,9 Z/ " L • /3' L , w•. Lo-e,s P, 1'•S/ Z 41111VE /0 21 1 5/L P- jell54 /0" "V /I -r-IT,- - P- P_ P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- / PVC > gy- liea 0_/W S/. / " r-Aiv -1 B 3 7z Al OAIF- > 7z 3 N -/3AI 51 rvf ~i to4-- B- Al z AICV,6- 72- 30"LY. Y ' o- c. 37" 0. 31 Wi c B- 7 1 7 511,17" AV 5/ B- 1 AleA,d 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 7.4-10 AC9 XEW4~4 Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. /''c/? 13EU /'/AA's• Nor ?'o se-,44E, A v7- 4-07- 4 = /t'E 7 I►Q ,V 7-- /.x1Y Arxe'E- P,-,5% Mlklre-t-> 1jrcP why A OF fey - lee) -Z qq C_k a a o ~ nZI1 In gq /00 ji~ i ti 3y XcRE' /oT 2 a /c~ c~tT~p ff~k~E 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. Name (print)_ k Certification No. Address x/'led Name of installer if known _ ~~~~.._1~_~~ ._a CST Signature/ Copy A -Local Authority J A 6,s C~ ,i e. 501U i C i0oo 99 d , i Co 0 Pkvppsc ~ ~cnrcc Cc Fc-z r~ State and County State Permit # -PLB 67 Permit Application County Permit # Private Domestic Sewage Systems County f37- for *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: .17 B. LOCATION: V F- '/4 /U' Section , T, N, R12 E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# &k_Village Township - C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify)*Variance Single family a~ Duplex No. of Bedrooms No. of Persons _ i D. SEPTIC TANK CAPACITY f[7 D Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete 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 9 l sq. ft. New ;71' Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top No. of Trenches Seepage Bed: -X-Length~Width. I Depth- Tile depth (top) _No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land. Sid 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 Certified Soil Tester, NAME C.S.T. # QQ 4/8,:;~ and other information obtained from - (owner uilder)' Plumber's Signature 7 5 Phone # W/MPRSW# /`i Plumber's Address r) n n. 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. e E . 3 Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application 13 'L Fees Paid: State j . County Date -Yc) Permit Issued/Rejee+ed (date) Issuing Agent Name th~? k t~( Inspection Yes No State Valid# Date Rec'd 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 } j Y J 1 a i t 1 ~ I i 9 E l N s i ~OT To A PPP- I1X1"t "t"\ TIE D1 STAN e. L E i/A T r C w, INLET rO I~kAik; r. F= SV