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Home My WebLink About030-1078-20-000 0fn0' ~-0 0 d `+1 O d r 0) O cL 3 m (D (D o c v m i co 3 3 ~i co r- m w 0 0 -9, C, rl CD ° fD v -4 o Wo CO n a a (n N C M (D W (n D -oo CO co L]. O 1 S N rti N C 7 fU N N CD N CD 0 N :3 V r". m CD n j O co O w O O 0 3 N C O ~ w I o O u> [ D a CD (a CD W a < 3 n o o m 3 O cD cD 10 CD N N l L - ~ r- cn C co co 0 n 0 c O O fn Z 0 0 0 Y l[w~i~l Cl) o S fA fR tR m - 0 E I, 41 CS U) 0 Y'. 1:3 I al A Q 0 m y o N < a CD (n z 0 ZOD z O D o o v O a D 0 • Z) ID (D CDD v C O C (D N CD W CD L1 I CL 3 7 Z CD Q6 A Z o m O .n+ 0 > A Z O v a 0 o. Z w N W CD M W m 0 " Z G 3 A 0 O Z m co N CD _ A 0 W Dj I CD CD sm0 s n a 3 N C) O - tl j N n o N 0 =3 N n O d CD ;L N C 7 momm?o a it C.) co C:> CD CD 0 cn cr~ Q~v(n v 3 O CD CD sS; x CD a oozw (0 N ~ a cn b (a mQ~ o_ n C a CDD 0-(C Cn N.SO (n a O o C S O 7 0 R (D :3 CL O N (D S CL C O C1 N 3 CD a N 0 5,0 C N C1 (n =3 • W ~Q V v <n O w O a CD O n ~ Parcel 030-1078-20-000 12/22/2006 08:59 AM PAGE 1 OF 1 Alt. Parcel 28.30.19.276B 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 - ERICKSON, SCOTT D & JULIE A SCOTT D & JULIE A ERICKSON 591 VALLEY VIEW TR SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 591 VALLEY VIEW TR SC 5432 SOMERSET SP 1700 WITC ~ /J 6y' Legal Description: Acres: 0.740 Plat: N/A-NOT AVAILABLE SEC 28 T30N R19W COM NE COR SEC 28, S Block/Condo Bldg: 185 FT, W 297 FT, N 185 FT, E TO POB EXC P276C Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 782/43 07/23/1997 705/384 07/23/1997 515/521 2006 SUMMARY Bill M Fair Market Value: Assessed with: 169171 215,400 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.740 40,000 146,900 186,900 NO Totals for 2006: General Property 0.740 40,000 146,900 186,900 Woodland 0.000 0 0 Totals for 2005: General Property 0.740 40,000 146,900 186,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 211 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Fir Parcel 030-1078-20-100 12/22/2006 08:58 AM PAGE 1 OF 1 Alt. Parcel 28.30.19.276C 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 - ERICKSON, SCOTT & JULIE SCOTT & JULIE ERICKSON 591 VALLEY VIEW TR SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 595 VALLEY VIEW TRL SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 0.520 Plat: N/A-NOT AVAILABLE SEC 28 T30N R19W A PARCEL OF LAND Block/Condo Bldg: LOCATED IN PART OF THE NE 1/4 OF THE NE 1/4 DESC AS BEGINNING AT THE NE COR OF Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) SAID SEC 28; TH S 0 DEG W, ALONG THE E 28-30N-19W LN OF SAID NE 1/4,185 FT; TH N 89 DEG W, 122.81 FT;TH N 0 DEG E,185 FT TO THE more... Notes: Parcel History: Date Doc # Vol/Page Type 11/01/2001 660773 1751/469 WD 08/24/1998 585612 1350/523 WD 07/23/1997 984/102 WD 07/23/1997 717/474 2006 SUMMARY Bill Fair Market Value: Assesse 169172 131,300 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.520 40,000 73,900 113,900 NO Totals for 2006: General Property 0.520 40,000 73,900 113,900 Woodland 0.000 0 0 Totals for 2005: General Property 0.520 40,000 73,900 113,900 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 P)NER - , T014NSHIP SEC. T N, R W 0. ADDRES? ST. CROIX COUNTY, WISCONSIN. -3DIVISION , LOT LOT SIZE PLAN VIEW -Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM t 3 f i ~ I j "a I T i h diicate North; Arrow j ! SCALE (QTIC TANK(S) MFGR. CONCRETE STEEL NO. of rings on cover Depth DRY WELL 'ttNCHES NO. of width length area no. of lines width length area depth to top of pipe ' ~GTREGATE -V RATE AREA REQUIRED AREA AS BUILT iisclaimer: The inspection of this system by St. Croix County does not imply complete .o;gli.ance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for Istem operation. However, if failure is noted the County will make every effort to ijtermine cause of failure. .fEASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. `INSPECTOR DATED PLU:fBER ON JOB LICENSE NUMBER REPORT Of INSPECTION - INDIVIDUAL SEWAGE SYSTEM Sanitahy PeAm.it 171 State Sept' e--J_3'27- AM I t t(,1 1 C/ Township St. Ckoi,x County ,4zx ucatcon~f-'Li'Section,,-,2JLot # Su divi-6-ton y fP1IC TANK S,( z e gatto n4 Numb eA. o j eompantment6 d t A tanee Oom: W eU Bui ding 1.2% ~stope Highwaten GIMPING CHAMBER Size- gatf-ons _ Pump ManuSae.tuA.e&- Mode. Number i)LDING TANK t S.('ze ga.2t.ons Nu.mbe4 o6 Compantmentls Pumper A.Ea4m System A tanee Atom: Wett Building 120 stope HighwateA ~~,tiORPTION SITE Bed_ Tneneh ti ranee Atom: We t Buitding 12% .6tope Highwa.te_A i 011 ION SITE DIMENSIONS w4dth o6 tAench At Requited atea_ 1 uth o6 each .dine. it Depth o6 A.ock below tile. / -cn NurnbeA oA tine.a Depth o6 rock oven ti. e. - to l o taf fen .th o Zinea { 9 5 At Depth. aS tite below grade _4.n J 4 e tanee between f ne.d At Stope o6 -tneneh in. pen 100 6t 1. uido olq.).t4-on area At T ~ ype o6 Covet: Papers OA .e.tAaw if DIMENSIONS NumbeA o6 pitb Gnavet around Outol de diame.tet it D•ep.th bekow inte.t - To ta. abs option a4ea At Area Ae.quined ~,t i NSPECTED BY TITLE I' s 'PROVED DATE 19 8 11 CTED _ DATE-- - 198 IA,~ON [OR REJECTION I ~ State and County State Permit # PLB "A. Permit Application County Per i # for Private Domestic Sewage Systems Count *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: B. LOCATION: '/4 Section T_ N, R_ E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family ' Duplex No. of Bedrooms No. of Persons r D. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete- k 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 Width Depth Tile depth (top) 'z No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land- . Distance from critical slope WATER SUPPLY: Private ❑ Joint E 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. # / and other information obtained from (owner/builder). Plumber's Signature MP/MPRSW# 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. y , 41 /V 6-, M m , K~ , , E Do Not Write in Space Below OR COUNTY AND STATE DEPARTMENT USE ONLY -1 17 - Date of Application Fees Paid: State 7L o Co n ~ Date Permit Issued/Rejected (date) Issuing Agent Name Inspection Yes ' No State Valid# Date Recd 1. county (whit 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 f S /V.;ii✓"i u 6 C, f A`1A" C. 32v.~" Rev. 9/78 x.15 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION- '/a/K Section,,ZIP,T,3_0N,RjeY_A(orownship or unicipality C~`^r C? ~ drs its c ros .~o.~ fi l_t. Lot No. , Block No. " C .-e V County SJ ubdivision Name Owner's/Buyers Name:-. Al Z2 Mailing Address: Q &x 922 A e, V t o,ir s yo,-2_ S , t i & g Z TYPE OF OCCUPANCY: Residence X No. of Bedrooms -3 COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS 7.PERCOLATION TESTS 7-`j SOIL MAP SHEET__ y_2_--_____ NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME 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 -311 -5-e e- A10 P_ rofv A10 3,4, Seems r~ 14 07- O s 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 q OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- B- Z_ F,~ It /2"Zo 671 ;1 B- _3 c7X 116Ae e-- 34 1. S B- B- B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the 121an the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy 10t7/ Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. ~Gzr~Q ~Y1~iCes'S J~7~`z'~ aC ~II r= ~s Arc t ~t.ddct lbor" 70/► e►~ vod' E N ~ ~0 3,01 o our 6 /Q S-CAW1 Greer d *Ulz -a~ym A4 09 N OM ~r,~ f /r sour \ C FtKcc) ~o 3 l9y N rCA - /f'A -s-r I 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. L Name (print) Certification No. - Address Name of installer if known Copy A - Local Authority CST Signature ' Ilk