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Parcel 030-1082-80-000 12/22/2006 10:00 AM
PAGE 1 OF 1
Alt. Parcel 29.30.19.298 030 - 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 - DUNCAN, PATRICIA ELAINE
PATRICIA ELAINE DUNCAN
415 VALLEY VIEW TR
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 415 VALLEY VIEW TR
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 29 T30N R19W SW NW Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
29-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1044/187 WD
07/23/1997 796/152
2006 SUMMARY Bill Fair Market Value: Assessed with:
169225 Use Value Assessment
Valuations: Last Changed: 05/31/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 51,200 231,600 282,800 NO
AGRICULTURAL G4 11.260 1,200 0 1,200 NO
AGRICULTURAL FOREST G5M 6.740 20,700 0 20,700 NO
MFL BEFORE '05 CLOSED W8 19.000 57,800 0 57,800 NO
Totals for 2006:
General Property 21.000 73,100 231,600 304,700
Woodland 19.000 57,800 57,800
Totals for 2005:
General Property 21.000 73,100 231,600 304,700
Woodland 19.000 57,800 57,800
Lottery Credit: Claim Count: 1 Certification Date: Batch 113
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORT
OADDRES S ~1 f+-+ L__ (/~UZsy E f~ ~~C~iy~c 49, TOWNSHIP MIT R~W
1. 0
_ ST. CROIX COUN
TY WISCO.
SUBDIVISION LOT LOT SIZE
PLAN VIEW at''~ s~
Distances & dimensions to meet requirements of 1462,20 AmB1Sa-'1
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM G (/t Std l(1 ~,{J
f
GL
S'
~i
I di a~ e ollth Arrow
SCALD
SEPTIC TANK(S) / MFGR,~scwX,~yr e CONCRETE )C STEEL
N0. o rings on cover Depth
PUMPING CHAMBER SIZE PUMP MFGR. ~ L NO.
GALLONS Per Cycle
TRENCHES NO. of witTF length area
BED NO. Of l.ines width _length_~-area
depth to top oT pipes
NUMBER OF SEEPAGE PITS Outside diameter total pit area
AGGREGATE :,,21 PERK RATE AREA REQUIREDAREA AS BUILT Disclaimer: The inspection of this system by St. (Croix Cbvnty does not imply
complete compliance with State Administrative Codes. There are other areas tha
it is not possible to inspect at this point of construction. St. Croix County
assumes no liability for system operation. However, if failure is noted the
County will make every effort to determine cause of failure.
GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYTEM.
Ile
INSPECTOR '
DATED PLUMBER ON JOB .
LICENSE NUMBERT r n<
REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM
Sanitary PeAm.i.t 11Q
State SepticJ-
NAME Township St. Crcc,_%x Cr u,r if
_-4~ZA~ Location 31 S 14) Section~Lot # Su /ivi/se.on
SEPTIC TANK
Size gattonz Numbers ob eompattment/s
Di4tanee bream: weal Buitding 12% .6tope
HighwateA
PUMPING CHAMBER
Size gattonA_. Pump Manubaeturee& Mode. Number
HOLDING -TANK
Size gaZtons Numbers ob Comparetmentrs
Pumpers Atarem Sy.Stem
Di6tanee bream: wett Building 120 ~s~ope
Highw atet
ABSORPTION SITE
Bed Ttench
Diztanee bream: Wett Building f2% ~s~ape
Highwaten
ABSORPTION SITE DIMENSIONS
Width ab tteneh it Requited areea 6x
Length ob each tine it Depth ab tock below tite i_rr
Numbet ab ti-ne~s Depth ob toe overt tite ~n
Total .length o6 tines it Depth o6 tite below grade Lr
Di6tance between eines it Stope o6 tteneh 4,n. Pere 100 4(
A
Totat absotption aAea it Type o6 Covert: PapvL ore 6 treaw
PIT DIMENSIONS
Numb ere o6 pits Gkavet around pith ye_r5 ne
Out.6ide diameterL it Depth betow intet
Totat abs otption area bt
Area tequited it
INSPECTED By TITLE
APPROVED DATE 178
REJECTED DATE 1~8
REASON FOR REJECTION
REPORT ON INSPECTION OF SANITARY PERMIT #
(1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection
a. re s, icense NO. o s a ing Plumber Time of Inspection
(3)INSTALLATION CONSISTS Or: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber
❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System
BEN 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:
EH 1-1 5 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: A& '/4, ~'/a, Section QC1 ,TWN,134~ (or) W_Township or Municipality
Lot No. , Block No. dlwsion a ntnty
Owner's/Buyers Name:
Mailing Address: 1-3Y~
TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS -fie PERCOLATION T STS ~L- I - 19~
SOIL MAP SHEET ✓ NAME OF SOIL MAP UNIT ",2 1A,_ je ILrj
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 HOLE AFTE INTERVAL
MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- '
` i
P-j 140 A& j
P- 3
1-4
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- 7 R4 6
B- 7 -
B- _
B-
B- 3 ~ % ?
B-
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the Iccation and square feet of suitable areas.
Indicate number of square feet of absorption area needed for building type and occupancy /75 ,Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
~r \
. L N
n ~
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4-1
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4
3
I, the undersigend, hereby certify that the soil tests reported on this form v ere made by me in accord with the procedures and methods
specified in the Wisconsin Administrative Code, and that the data recorde4 and location of test holes are correct to the best of my
knowledge and belief.
Name (print)_ ct V Certification No.
Address iL 1►C . 3 r
Name of installer if known
Copy A -Local Authority CST Signature / Z
State and County State Permit # f 3
PLB 67 A Permit Application County Permit #
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:
B. LOCATION: \qSection T,J N; R (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 1
14 D. SEPTIC TANK CAPACITY /600 Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete TX__ 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.
NewReplacement Alternate (Specify)
Seepage Trench: No. of n al Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: _LengthWidth Depth Tile depth (top)L~2No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land .0 Distance from critical slope
WATER 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 Certified Soil Tter,
-31 and other information
NAME .2 ' s ~_Jee C.S.T. #
obtained from (owner/builder). /
Phone
Plumber's Signature ..l MP/MPRSW# Z S'G 31
Plumber's Address
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.
m
A j12>fh/
E
44 `4 ~ ~ .
~4 YS
,
Do Not Write in Space Below f/ FOR COUNTY AND STATE DEPARTMENT USE ONLY d
Date of Application C~ Fees Paid: State' ,C--V County ,5 ~-7 Date 7 -~1
Permit Issued/Pre}ested (date) - Issuing Agent Na _
inspection Yes_X_No State Valid# Date Recd
county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
state (pink copy) 4. plumber (canary copy) Revised Date 7/1/78