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030-2002-20-000
n to O 3 v n r~ O y F c d O `+1 (D CD o c 0) n O _z r- W° m s o ::r 00 o (D 0 co M CD 0 0 Z) co O O N .'1 (n N 00 W a Rio D o n N o ~ n- W N m O O cn o m o 7 O Q _ N N J N o .'S y (D CO (D (f] O D G a N CL i O O C CD m co 0 (D O N m e 0 0 3 Q Im d z o O O • (n IT7 C) 8 3 cn U) U) (D ~f U) 0 (D 90 0 ci v (D Q (D (n 0 N - O_ m 3 Q - N N z DWO O Cl =3 CD CD N N (D N C C (~D N (D W CL a z -4 cn Z CD y o_ p Z O J Cn -I w W - wo w CL j z 3 z y z m a I w F O Vl T O O - N 2 t ooco m h S O - (D G v m (D o z a C C G (D C (G (D 3 n N ~ O N ~ C ~ ~ d O N C Q 4 I N SU X N W O CD N d N ti 7 O O N C p S 3 O (CD A N C O (D 0~ O ti p 0 ~ v O (D <D (D ti Parcel 030-2002-20-000 03/21/2005 11:13 AM PAGE 1 OF 1 Alt. Parcel 33.30.19.362E 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 TEED, BETH K, & WENDY STAVE BETH K, & WENDY STAVE TEED 1259 52ND ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1259 52ND ST SC 2611 SCH D OF HUDSON S SP 1700 WITC Legal Description: Acres: 2.480 Plat: N/A-NOT AVAILABLE SEC 33 T30N R19W SW NW COM SW COR SEC 33 Block/Condo Bldg: W 57.61 FT N 628.97 FT N 87DEG E 120.15 FT N 44DEG E 444.26 FT N 1 DEG E 1091.23 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) FT N 10DEG E 1205.62 FT -POB N 10DEG E 429.41 FT CEN LN HWY "E"~7F~6EG E _ 00 33-30N-19W 265.FT3'~713E7 FT S 78DEG E re.. Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 685/19 2004 SUMMARY Bill Fair Market Value: Assessed with: 5675 206,500 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.480 69,200 134,000 203,200 NO Totals for 2004: General Property 2.480 69,200 134,000 203,200 Woodland 0.000 0 0 Totals for 2003: General Property 2.480 40,400 115,000 155,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 205 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 y W o Z 00 ~ 2'08"W 1320.07' N0°46' I5"E 1179.03' 1 651 40' 37372' 707 58' v l rr*i r► /0 N\~~ ' o m W _ C7 Or m CT) 273 00 jt~ ~W cn 305 3 i -~~/004 00 E 330 2 7 ~S ~s w O C O d o_ A O 330.78 - N0014'45'W cn Gn cn 591.52 0w O O m O F, \j Ll > m o a) 70 m 0 M 0 M Ln \ V \ U UJ- O 0 Q 0 p / 'O °~~.o ~uj c: O - ~ m 591.52' 300.00' 298.00 325 00' 268.28' 3526.00' w 1 /-6127 )PERTY SURVEY REVS ONS SCALE -rE GATE 0E3)CRIPTION By N S I N 54016 1 DRAWN BY z DATE 3 Uao 'I F_ 6.3 i T©77~ - r i 1 IT---- T. • AS BUILT SANITARY SYSTEM REPORT "1:ZER lt, .u, a , t , TOWNSHIP-.,: SEC. ; -y T N, RAW •0. ADDRESS ST. CROIX COUNTY, WISCONSIN. dDIVISION LOT / LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 n.r SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM r , ,a" TIC TANK(S) MFGR. 61_',1 < c 1~ 7 CONCRETE STEEL NO. of rings on cover f Depth DRY WELL °'NCHES NO. of width length area :J no. of lines width f 4 ' length 4 > area. depth to top of pipe '-~REGATE 11 1K RATE AREA REQUIRED / g AREA AS >L 7 ,~ciaimer: The inspection of this system by St. Croix County does not imply complete lpliance with State Administrative Codes. There are other areas that it is not possible inspect at this point of construction. St. Croix County assumes no liability for Stem operation. However, if failure is noted the County will make every effort to ermine cause of failure. .EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. "INSPECTOR -r yo DATED PLUMBER ON JOB LICENSE NUMBER i i y RI PORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM S a n.i. t . n y P c n rn.i t j U state sept-4,C-cp X41: Town's h4, St. Cn_o,i.x Coun.tI -4At -7 ~l I , - L at~on Sec,Uon Lod # / Subdivti6ion sS~3 PTIC TANK S,i ze ~ -gat Zon6 Nurnben oeutri a~itrnen.te s tan ee f n_cirn: Ulekk 6uLkdiyrg_- 12 o h cope- - - HighwateA= 1IMPI NG CHAMBER S,i_ze.-_ _..-gatZons - Pump Ma.nu6ac,tuh.en Model Number. ~LUINu iANN Si ze_ ga f.on.6 Nu.mbe.h of Compantmenth P u m p e n__--__- A t a nm S y e t e m h tanee ()nom: (uoU Bulc'kdin.g__- _ 12% I upe. Highwa,ten .SORPTION SITE Bed A' Tneneh s trance Oom: We,U <l Buitding.--_& r2% stope. H-i.ghwaten ,SORPTION SITE DIMENSIONS Width o4 .tneneh ---4,t Requ4.ne.d area r Levng,th o6 each tine. --f ,t Depth oA rock betow .t4.ee Number a6 P4_',-nes_ Depth o6 rock oven ~.Pe <n To.ta.e Icng.th oA tines- J,t Depth o6 tite be. uw grade. . ;.n 0i,stance between U'ne_h Q t 1{ Shope o{ .tne.neh gin. pe"Y 100 6-t To.ta.e abson.p,t,Lon anea_ At Type a{ Coven: Pape4 on. A t/taW 'T DIMENSIONS Number oA p-i is Gravoe arrouo.d pit5_----_yee- -.___.._...__....nu Outs i-de di arnc~ ten _bt Depth below tinYe"t fi"t To,taP A,i onpti-on ane.a_- -6.t t Alcea ne(Iui gyred---------~9--- -fit VI CTt D BY TITLE 'PROVED ~ ~J DATE 19 8.0 f[CiED DATE 198 ASON FOR REJLCTION State and County State Permit # PLB 67 w ` Permit Application County Per it # /U 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: '3t7-- Section T,3L N, R!~•F-(aF) W Lot# -(-City l~ H Subdivision Name, nearest road, lake or landmark Blk# f Village Township C. TYPE OF OCCUPANCY: - ommerc *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 Poured-in-Place Steel Fiberglass Other (specify) New Installation f Repla ement Lift Pump Tank or Siphon Chamber A Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUEN DISPOSAL SYSTEM: Percolation Rate -f ~-5_Total Absorb Area sq. ft. Nev Replacement Alternate (Specify) Seepage Trench: No. of _Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: V Length Z Width / ' Depth SO Tile depth (top) ~ No. of Lines - Seepage Pit: Inside dia eter Liquid Depth No. of Seepage Pits J Percent slope of land Distance from critical slope (cam 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. # and other information obtained from - {a*,"e~builder). Plumber's Signature IdZ4 -MF PRSW# ~ i Z Phone #76 S 7q~~, Plumber's Address's 7 2 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. .a m t e E _ a... E. m. .w a .x _ e. _ a m m.... s ..r..e „.....:....-a . m. E e i t € E ~ aL n 1 € j = f 3 3 . Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application 16' ~/-!fV Fees Paid: State O-Z) County cfr~ Date - -~U Permit Issued/Rejeeted (date) ! Q - t -d U Issuing Agent Name Inspection Yes N0 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 "5. 1 1-5Rev. 9/78 ` REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LQCATIO :7w S ction ,T r N,,13~1_11-C{ W, Township or Municipality ~~C kf Lot No. & - , Block 8-Ji A& 4e CS~ :T:~ U ltd-County S~ C_iy- bdivision INVame Owner's/Buyers Name: a_,44. S t~j Mailing Address:. ~1a fi.0 ;sue r N ✓1 TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW~REPLAdCEMENT ALTERNATE SYSTEM / OTHER DATES OBSERVATIONS MADE: SOIL BORINGS c s SO ibO PERCOLATION TESTS SOIL MAP SHEET NAME OF SOIL MAP UNIT ~.i 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- P-- IP_ 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 i B- I ! 41 CPO I/ p~/ 11 ~CC1..+ T B_ s1 e G L4 4k "'A sA. or r/ a rI B- ere Z1 *':F 4 /3:/ B- I/ >-G If p fj r! 7tt~ J`~~ B _67~ k 4 K 7 '70 c a B- ~6 7,0 PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location an square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy S~% Sf; z Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. f i s- ~b► I tJ` 11 ♦j 3 E 1 D h w.._ . 17 ~cit ~~.c e r Z : s ' ~ e i 1rQ Ilk 1, 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) < Certification No. 4 -z Address *l r .Name of installer if known -4p-- Copy A -Local Authority CST Signature - 1 Ge" SQL 4M ell ql_lj '1~11 ~j: to CA aA ) . IL ;r f,. L^' /.S i\ pP f , j~ zs y pry Pal \ CC t, : i QQ k 6 1 Key'' _ /l9~ i l_ pc'ef (y) f