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HomeMy WebLinkAbout030-1094-95-000 y O C d O -0 A d ~ A 3 _ ~ O ,n o o V w (n N Ow hl • S~Jl n (a m (D Co 0 1 "S N ~CD cn co 0 =r OIL (p j rz N. o 3 v Q° o O cn (n (n O ty y v l~l 'J> u7 (D 'n O. N p I cn 07 A C Q C 1 w r~ 0 1 j V O N Z O IG. N_ _ ~ co m 0 N co --4 cn O c IT m z O O o Cnn W',T ° <1z <n cn cn o D -0 v v o (D A O n o N _ CID 0) I N z z m z o D m o o (D D En En co v c CC N C (D (D w d Q ~ 7 z ~ cn O C A A CO) 1 A Z O 0 n I Z W v m N (D co CID o 1 z c c: z 1 3 z A w o n m 3 CID CD _ CD -n 1 vi ~ c o = ;z a o~ o (D v m o CID m m a cn n r cn S~- CID CD o cn a n (n Z ~ = v O ~ N O W (D O X I W ~ A m Z o c ~ O o ~ Parcel 030-1094-95-000 03/01/2005 10:37 AM PAGE 1 OF 1 Alt. Parcel 32.30.19.344G 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 MADSEN, CHRIST M & SANDRA CHRIST M & SANDRA MADSEN 437 CTY RD E HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 437 CTY RD E 00 SC 2611 SCH D OF HUDSON i G d4, I SP 1700 WITC 1 0 PfVP91 b' Legal Description: Acres: 4.130 Plat: N/A-NOT AVAILABLE SEC 32 T30N R19W NE NW LOT 1 OF CSM Block/Condo Bldg: 4/926 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 32-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 2004 SUMMARY Bill Fair Market Value: Assessed with: 5586 295,900 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.130 89,300 201,800 291,100 NO Totals for 2004: General Property 4.130 89,300 201,800 291,100 Woodland 0.000 0 0 Totals for 2003: General Property 4.130 52,500 163,300 215,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 145 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • AS BUILT SANITARY SYSTEM REPORT OWNER r ADDRESS ;r 1 f„u r TOWNSHIP SEC. 1 T N, R/" W / ST. CROIX C LINTY WISCONSIN SUBDIVISION LOT_ LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 6 EFE I di ate oath Arrow ::L r S CAL r C SEPTIC TANK(S) MFGR. CONCRETE STEEL N0. of rings on cover Depth PUMPING CHAMBER SIZE PUMP MFGR. - MODEL NO. GALLONS Per Cycle _ TRENCHES NO. of width length area BED NO. of lines width length f" area depth to top o_T pipe NUMBER OF SEEPAGE PITS -outside iameter total pit area AGGREGATE _ PERK RATE SQUIRED AREA AS BUILT Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas thi, 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. INSPECTOR DATED PLUMBER ON JOB " "2"i' L2 L LICENSE NUMBER ~J Ids • REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM San.i.taxy Pexm.i.t ~rY • State Septicl NAME rawn4hip-' St. Cxoix County ! o c a io ia S e c.t.i o n SEPTIC TANK Size 1000 ga.Z.Zonb. Numbers o6 CompaAtmentb ` ViAtance Fxom: We.Z.Z it. 12% ox gxeatex a.Zope it Bu.i.Zd.ing it. Wet.Zands 6.t. H.ighwazex - it, t DISPOSAL SYSTEM D.iaxance Fxam: We.Z.Z 100 f it. .12% ox gxeatex a.Zope it. Bu.i.Zd.ing it. we.t.Zandd Ft. • H.ighwatex it. FIELD DIMENSIONS: Width o6' zxench it. Depth oS xock beZow at.i.Ze (p .in. ( Length os each tine 30 it. Depth ob xock oven ti.Ze .in. Numbex o f .Z.inea 3 Depth o j t.i.Ze be.Zow gxade .2y .in. Total .length o6 .Z.ines 41O it. S.Zope o5 ttench in pen 100 it. D.iAtance between .Z.inez it. Depth to bedxock - ~ . To.ta.Z abb oxbt.ion anew G y 6 6z2 Depth to gnoundwateA Requited axea it2 Type of Covet: Papin ox taw PIT DIMENSIONS: Numlbex o6 pits Gnavet. axound pits yea no Ouza.ide d.iametex it Depth be.Zow in.Zet it. 2 Toxa.Z ab.Boxbt.io axea it A Anea xequ.ixed it INSPEGTfV B.V-- TITLE r- APPRO VED P DATE "101-20 19 7cs0. REJECTED DATE 197-. t¢ Eli 115 - WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS _ LOCATION: /a, J'/a, Section ? , T40N, R ~y- E (or) W, Township or Municipality Lot No. ✓ Block No. County Subdivision Name Owner's Name: Mailing Address: TYPE OF OCCUPANCY: Residence X No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW- X ADDITION REPLACEMENT e DATES OBSERVATIONS MADE: SOIL BORINGS ANN '2~J PERCOLATION TESTS OOXI SOILMAPSHEET SLS 7~ SOIL TYPE 011 CZ 0!i'V`,44 4 0" .3"/t Z''9 - 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 AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P L~.4M ~Zv 0R1t'VYj,'F_ ,vD~Jt 7l~/ / ' P-2- Ld.9~"1" / ' Gf /jam. SQL .L Z j,/ V, -1-4 l / / F 0 P-3 &1_ LUA wa ~ ol /z,, M 21) 1 13N. J:L. /Zw SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B= i 72- 41DtiE ' 7-2 - C ' G,'. 6^'_ 6~ z-2 L f 15'4_ 3~' Jy_--- S / 72- I✓cNE > 74 If" /?.V, L /y" 4 b, ~ . L J !Y0 Ae'yi/% Ao D. 5. s f h. 72- 4/0A111 > "72 1 ' 1-1 P Dk• JA/. 5/ ' r R_ 4t 72- 416?1VE > .72 v. S«t 3tv" °l^s. ; yr. 5~ 72- It/0N > 72 13 ' Ae- AV g " Gf 54f t t/O L'- © r s S h r.0 7-L vvN11:" > 72. -12W,0 L 17,. ` f. S;Lf. ~ y1 c, or, s. ~ r . -0 V 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. 71O j44 ICI 1Y 46Y' finR QED Indicate scale - or distances. Give horizontal and vertical reference points. Indicate slope. L~/• : g.rFC,P lyre)" ~Clsv~'e 1✓Ff )105 7-, IVA11 5'UV 10 A 0-0-- t - - -r-- d - } - - r- ` J-3 -PAY, ! U i I ~ I t ' i I ! t , - --+_.,~jp I 4 Ail i I, the undersigned, 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 knowled-g~e• and belief. y Name (print)j/ Certification No. Address /?,r Name of installer if known 1 'a CST Signature EH 115 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS t% i T-Er ~vhT - 2 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 AIW 36 574- T0SZFW 174- LOCATION: /4, /4, Section T - N,R_E (or) W, Township or Municipality Lot No.Block No. County Subdivision Name 0_ wner's/Buyers Name: Mailing Address:._ sc~% S/ ~C 5Y ' ~°4~`'~.~~+✓ Ai / ylu, ~ TYPE OF OCCUPANCY: Residence X No. of Bedrooms 3 COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM ® OTHER DATES OBSERVATIONS MADE: ~/SOIL BORINGS 9-0- 7 PERCOLATION TESTS a 1 7 ,~7SOIL MAP SHEET Ate - NAME OF SOIL MAP UNyI~T~6V'_Vfi~ A'~TZ~:o S; / L~ kXC TA557$' )CC4 ,o ~ A L~ Y1 PERCOLATION TESTS Tom` S - _F4__ TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES NUM- DEPTH CHARACTER SOIL SINCE HOLE HOLE AFTER INTERVAL RATE BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P-Z 3 i ` So' h 4 7oz,P 30, P-3 3 A0 1"/-) 1C -jr"l, G~ " 7VP, / 3C5 /Z l r4 ,C z AV 3ill Y 12- /l//& I P- 3 ti ,Av,1e /S "Vet"s' l P-L# 3& S A Q b8,w Ji1 El d~r~~ . cf ~y NO, Of -3 1 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- / Z 0"A 1 1-2 11// Y. s/ B- 2- 72- VOVIF 7A TA, 4, Y *C,P . -S B- 1)- -7 L 4, Cs 3 I 0/= - if B- 5 11 AIOVr 7 7 2- AA; /Jr I/ Pv s,`l ' fa 7" ,s/ R 14 cS ; c PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitab a areas. Indicate number of square feet of absorption area needed for building type and occupancy 615 Indicate scale or distances. Give horizontal and vertical reference' points. (Indicate slope.. % -IkE i4~3E~} LSf' ~tE3 I~.2 !mac ~i of /3%I~' o'ff' `'os j`"5' Ac- do mv PAC ite 56, fi®e /ED Oita' TN _ Al 6 7t : No ~ d4,4sv~PC -i44I~ s 3 6 50 AH y F m,F Tf4r 10 y - /35 ` /76 • Iik - .4 Or' A 2-0 -3o )o :SIO/ . n 46, Of a.,.k I, the undersigend, hereby certify that the soil tests r ed on~itforr~1 v✓ere a by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and the dprd,6nd,% ' tion of test holes are correct to the best of my knowledge and belief. Name (print) Certitication No./~ Address Name of installer if known _ Copy A -Local Authority CS Sir::` ure f s TJ_~a / d pE QF 1 Hwy, E 0 0 d~ State Permit # 5 PLIB 6 7 State and County ~ Permit Application County Per t # 13 for Private Domestic Sewage Systems County t *DENOTES STATE APPROVAL REQUIRED Date, Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY a' g Address: B. LOCATION: '/4, Section T-L_ N, R4L E (or) W Lot# Z_City Subdivision Name, nearest road, lake or landmark Blk# Village Township j-f.. C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family_ Duplex No. of Bedrooms No. of Persons_ D. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete -A~ Poured-in-Place Steel Fiberglass Other (specify) New Installation _ -Replacement Lift Pump Tank or Siphon Chamber Total al Ions Prefab concrete Poured-in-PlaceOther (Specify) E, EFFLUENT DISPOSAL SYSTEM: Percolan a al Absorb Area sq. ft. New.lf- Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width D h Tile depth (top) No. of Trenches Seepage Bed: ,N, Length -Width Depth= ile depth (top) o. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land ,r Distance from critical slope WATER SUPPLY: Private ® Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: 1, 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, r NAMES C.S.T. # f i and other information obtained from e (owner/builder). i Phone # >y%- Plumber's Signature MP/MPRSW# ~ 7 ? ~ 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. .r r ( I m...~ ,mm "_...,..P m . .A., I~ E m _ mom. r s i e 3 E , rw t l; E E Do Not Write in Sp Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application --3- ~71 Fees Paid: State < Cou 1 to ,G Permit Issued/ (date) Issuing Agent Nark Inspection Yes 7te State Valid# Date Recd 1. county (wh y) 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 ST. CROI X COUNTY \i A ` A A A • •1 'M WWI o V u 11a.1 1\ ZONING OFFICE 796-2239 HAMMOND, WI 54015 November 25, 1980 Ed Brown R.R. 1 Stillwater, MN 55082 Dear Mr. Brown We are writing in=-regard to the system that you installed for Chris Madsen, St. Joseph Township, whose former address was 16681 So. 16th Street, Lakeland, MN 55043. As of this time we have not received an as-built of this system. Could you send us one as soon as possible. Thank you for your prompt attention. --Yours truly, Thomas C. Nelson sl