HomeMy WebLinkAbout030-2049-40-000
c O o C ~1
o
3
m
.r
CD .a
m CD A
3 Oki
O
Cf) = Z O (D ~ v OW rj u)
~ v in m o o, m
(SD O• O CD O N O` O N '.7
O- n n N N IV O
(D 4~1
w m m W° m CO
NC-O O
V°, C CD o o D o
3 N CD n 0
CD 0
N_ N O
01 A A
n A CD M o
cOn a w
p N
a o o C
O (D co n lot
W N CD
CD
CD = 0 r- U)
N O CO CO O C C
0
O
7
'a M
O O O ::E
o 0 E ~-1~ M 3
fA In 0 CD
o
v o v 2 CD
in CD I y N N
A Q
O
N 3 - a
N N
z
° zz co °z O
> CD
w O n ~ \r
OD s ~
•
CD CD
~r
D m
N
CD w C
C CD CD
_ CD
I W ~ n
z -i U)
E3 Z CD
o
v ~ M
a CL C) p
G) N
O W V
CD CD C O
CL z
G - N
3 a' C°
y ~ <
CD
W N
N
N U1 ~ N Cn Q -n
CD N W C CD W
-0 N)
(D CD 7,
O CD CL O
n
< Fn- C) c
~~CD °
m <.3 z o
° m o
o °
:E CD n 0-
~
T
o ° ~ y
~N o
CD v
c
-00 Y). Cot
o ° ID A
o ~o v
O O O O N A
C~ O <
CD n 7 :E °
(D
3 - CD
C CD 4
7 0° d N
~ ~ F O
N 7 O O
j X ~ O F CT A
O
ti
0
Z) A
CD
O
~ w
o O O
Z a
C)
Parcel 030-2049-40-000 03/08/2005 11:06 AM
PAGE 1 OF 1
Alt. Parcel 27.30.20.512A 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
SIEBENALER, ROBERT & MARGARET
ROBERT & MARGARET SIEBENALER
1321 HWY 35
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description " 48 132ND AV_ E
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 3.800 Plat: N/A-NOT AVAILABLE
SEC 27 T30N R20W PT GL 5 LYING SW OF HWY Block/Condo Bldg:
35, NWLY OF A LN BEG SWLY LN HWY 385.15
FT S OF N LN GL 5 WLY ON DEFL > 99 DEG Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
TO RT 286.8 FT; DEFL > TO RT 12 DEG 27-30N-20W
122.9 FT; DEFT > 1 FT 143.3 FT: TH DEFL
> LEFT 12 DEG 24 ' 325 FT TO ELY SHORE
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1127/377 WD
07/23/1997 611/274
07/23/1997 482/462
2004 SUMMARY Bill Fair Market Value: Assessed with:
6133 325,700
Valuations: Last Changed: 07/09/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.800 220,000 100,400 320,400 NO
Totals for 2004:
General Property 3.800 220,000 100,400 320,400
Woodland 0.000 0 0
Totals for 2003:
General Property 3.800 194,500 78,000 272,500
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
AS BUILT SANITARY SYSTEM REPORT
r ,
OWNER TOWNS ,
ADDRESS r HIP SEC T N, R W
ST. CROI C t1NT WISCONSIN.
SUBDIVTSTON r CSIm q 26921
LOT_ _LOT SIZE 3, y
f~7/tza
PLAN VIEW Ljq
Distances & dimensions to meet requirements of. H62,20
SNOW EVERYTHING WITHIN 100 FEET OF SYSTEM
s
y7
Z
r I di a e oath Arrow
SCALE : i ~r
SEPTIC TANK(S) MFGR. CONCRETE ,Z STEEL
NO. of rings on cover . 7 Depth
PUMPING CHAMBER SIZE PUMP MFGR. `~rL NO.
GALLONS Per Cycle _
TRENCHES NO. of wi tcT i length area
BED NO. of lines width length area
dept to top o pipe '
NUMBER OF SEEPAGE PITS outside diameter- total pit area
AGGREGATE ' ,
PERK RATE RE REQUIRED/ AREA AS BUILT
_J~
Disclaimer: The inspection of this system by St. Croix County does not imply
complete compliance with State Administrative Codes. There are other areas thn'
it is not possible to inspect at this point of co etruction. St. Croix County
assumes no liability for system operation. Howe er, if failure is noted the
County will. make every effort to determine cans of failure.
GREASES AND OT_LS SHOULD NOT BE DISPOSED THRO THIS SYTEM.
INSPECTOR`S
DATED PLUMBER ON JOB , i-A"s
LICENSE NlWrR T~-~r
REPORT ON INSPECTION OF SANITARY PERMIT # cX1S-~
(1) lame nd Addr ss of Permit Holder Person/Persons at Site (2 )Date of Inspection
ame, a s,, icense NO. o ins a. Ing Plumber Time of Inspection
'I -e- dam" ~ -3 1 _ /J_
(3 )INSTALLATION CONSISTS OF: Septic Tank ❑ Seepage Trench ❑ Dosing Chamber
❑ Seepage Pit Seepage Bed ❑ Holding Tank ❑ Fill System
(4BEN ermanent reference Point) Describe:
Elevation of vertical reference point: Slope at site: j
(5)MATERIAL AND DEPTH OF SEWER:
(6)SEPTIC TANK: Manufacturer: t e7t4je:~r:S Liquid Capacity: 1('~e 0
Tank Inlet Elevation: Tank Outlet Elev:
j
# 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;[ the depth;
1 i.neal feet tile; ft to residence; 7,~~ft to well; 163 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.
lI SEEPAGE TREE H- 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? ,KYES ❑ NO
(13) Has system been installed in floodway? ❑ YES NO Floodplain? ❑ YES NO
DILHR-SBD-6095(N.05/80) "Uri
Signature of Inspector w~ V ( x
~1t
, ~oa _noi
A'~G
PLB 67 State and County State Permit #
w Permit Application County Per it #
efor Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. O
IFM ~ WNER OF PROPERTY fA Q-&4k, , Mailing Address: t
el+ -5 1,e- ~~n \,oL C
B. L CATION:!'/Section N, R 0 (or) _W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township.Sr
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family _ i Duplex No. of Bedrooms No. of Persons _
D. SEPTIC TANK CAPACITY fa 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 X
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 _c! Width1:2_Depth Tile depth (top) z~ No. of Lines -2
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land Distance from critical slope
'VATER SUPPLY: Private X 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 Ce3 ified Soil T,~ter,
NAME <~j) JDitlr'9r S C.S.T. # and other information
obtained from (owner/builder).
Plumber's Signature MP/MP SW# / Phone
Plumber's Address
I
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
L.
.
.
3
f
t
Do Not Write in SpLade Below . } FOR COUNTY AND STATE DEPARTMENT USE ONLY 1
Date of Application Fees Paid: State County .'`j C~ Dat~-
Permit Issued/Fk7Ertea' (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
• ` REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM
Sanitary Pehmit
State Septic
.AME
Township "I j St. CAOix County
4el-
oca.tions 4.S Section4AJ Lot 0 Su divi-6ion
LPTIC TANK
Size ~ ga.E.Eona Numbeh o6 eompaA.tment,6
e .5 tanee {nom: Wett C Building 1.2% atope
Highwa-teA
LIMPING CHAMBER
Size ga.E.Eans _ .Pump Manu6actuAeA• Mode.E Numbers
()LDING TANK
Size gatton.d Number o6 CampaAtmen.ts
PumpeA Atatm System
stance 6&om Weft Building 12% e tope
Highwa,t.eA
?SORPTION SITE
BedTAeneh
(.e.tanee 6AOm: We.E.2 Bu~,~.d~.ng pe
:~_S r2% ata
e" t, fx
Highwa-teA,l""
6SORPTION SITE DIMENSIONS
Width o6 t4eneh 6t Requited aAea l i 6,t
Length a6 each tin.e Depth a6 Aaeiz below gee in
Numbe.n. o6 ti ea_ Depth o6 Aaek oven .tite._ ~ kn
To.ta,e Peng-th 06 ine,6 6.t Depth o6 -tile be.Eaw grade ~f 4.n
Vi.6 zance between ine.6 6,t Shope o6 trench pen 100 6t
Tu4uA ab6u)Lpti.un aAea l,~ f 6-t Type o6 CoveA:, ~ -peA a~. 6tAaw
IT DIMENSIONS
Numb eA o6 pi t.6 1 GAavet atound pits yes na
Outside diame-teA 6t 1}ep h betaw tinEe 6.t
Totat ab4oAp,tion aAea 6t
Area nequine~ 6,t 1
NSPECTED By TITLE
r
PPROVED ( DATE 19
i
'EJECTED DATE 198
'EASON FOR REJECTION
P6 Z /e
• ~jl.l.dSD W(5 C
501 - S 5p 2 -~~61~ OC' -2 C~
U "
u;e, \
ly
E
/ 1 D f 5CA4 c:
FEH " 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'/,5i_Ya, Sect ion=2_Z,TJQ_ N, g4t (or) W. Township or Municipality ~t
Lot No. , Block No ~SZ
Subdivision Name County
Owner's/Buyers Name: .
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms ^3 COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW -REPLACEMENT X ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS j -,=12 - Qom-PERCOLATION TESTS _:Z- • SRO
SOIL MAP SHEET4SB NAME OF SOIL MAP UNIT ' -•S4 e~--
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 NO LE AFTE INTERVAL
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P- / o
P- tip J-D
P-
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- 7 - - /
B- L
B-I;- i1v C,11, 1&31 t:S
B- E
B- /08 7 -CA j
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the I Vion 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.
Jor
w~~y~ o
.rJL11f•1 ~ ~
h~
fA /bIl
t
3
. h IV t~ et
F4fOt' ~'{,Ia~ f ~.10~
~Q Y 4 r
Cc
r
c ._a ®w
,
h
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.
Certification No. s S
Name (print)-- ` (u i V3., pcj
Address
Name of installer if known L
Copy A -Local Authority CST Signature