HomeMy WebLinkAbout030-2069-50-000
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Parcel 030-2069-50-000 12/05/2006 11:30 AM
PAGE 1 OF 1
Alt. Parcel 36.30.20.610E 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 - GRIFFIN, JON W & SUSAN
JON W & SUSAN GRIFFIN
279 130TH
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 279 130TH AVE
SC 2611 HUDSON
SP 1700 WITC
Legal Description: , Acres: 3.000 Plat: N/A-NOT AVAILABLE
SEC 36 T30N R20W NE NE COM NE COR SEC Block/Condo Bldg:
36, TH W 946.7 FT TO POB TH S 503.6 FT,
W 225 FT, N 8DEG W 509.15 FT TO N LN; E Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
300 FT TO POB 36-30N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 587/618
2006 SUMMARY Bill Fair Market Value: Assessed with:
170055 297,300
Valuations: Last Changed: 07/09/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.030 91,200 166,700 257,900 NO
Totals for 2006:
General Property 3.030 91,200 166,700 257,900
Woodland 0.000 0 0
Totals for 2005:
General Property 3.030 91,200 166,700 257,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 201
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 Jcd/"J
-IF 1 /1? TOWNSHIP SEC . T_ '(':N N y RAW
ADDRESS ST. CROIX COUN WISCONSIN.
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
HOW EVERYTHING WITHIN 100 FEET OF SYSTEM
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SEPTIC TANK(S) MFGR. OONCRETE STEEL
NO. 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 L width 12-1 length E y' area ~{2
depth to top o pipe
NUMBER OF SEEPAGE PITS Outsidediameter total pit area
AGGREGATE
PERK RATE " AREA REQUIRED 3 AREA AS BUILT Z
x -
Disclaimer: The inspection of this system by St. Croix County does not imply
complete compliance 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 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 0 PLUMBER ON JOB C. o,_ f)o
LICENSE NUMBER "s 61
Ye
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.i.tany Penm.i-t
State SPp.t.CC_ . -
NAME ,j{ l"awnbhip ST. Cnoix County
Location Section
SEPTIC TANK
Size ga.L.tonb. Number ob Compartments j
Diztanee Enom: We.L.E it. 12% on greaten etope it
~ •
Bu.itd.ing it. Wettand.6
-
DISPOSAL SYSTEM Highwaten it.
•
D.ia.tance Enom: Wett it. .12% ot greaten ztope St.
Bu.itd.ing 6.t. Wettands Ft.
Highwaten it.
FIELD DIMENSIONS:
Width o6' tnen ch it. Depth o j no ck b etow t.ite in.
Length of each tine it. Depth o4 noch oven Z.ite .in.
Numbers, of tin ens Depth of .tite betow grade in.
Totat .Ceng.th o j tines _6t. S.Eope o6 tneneh in pen 100 it.
DiAtanee between 2.inez__J.t. Depth to bedrock ~ .
Tota.C abz onbtion area i t2 Depth to gnoundwaten t.
- Requ.ined area it2 Type of Coven: Papers on Straw
PIT DIMENSIONS:
i
Numbers o6 pits Gnavet around p.itz yeas no
Out-aide d.iameten S ="1 /Depth b etow .intet S t.
r 2
To.tat absonbtion area ! it
A
Area tequited ~ 2 rn
INSPECTED By TITLE
APPROVED , DATE 197.
REJECTED , DATE 197.
t .
EH._ 11:5 - ~
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: '/4, A" 14, Section A, T.304, R, S)&*or)64ownship or Municipality Sx
Lot No. , Block No. County F~'e; r`,
Subdivision Name
Owner's Name: -_T r'~-mod r~~ X M
Mailing Address: /~l 4,--W, 5 S 3
TYPE OF OCCUPANCY: Residence _X_ No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS-__x' 1? PERCOLATION TESTS
SOIL N/IAP SHEET SO 1. TYPE S ' Z- p ~7
PERCOLATION TESTS
1 TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL
VUM- INCHES THICKNESS IN INCHES MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P__ ( 1
t
P!3
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
',UMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
TV 2- Tj~
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the locationand square eet of suitable areas. Indicate um}hf cf t a.7 0,
needed for building type and occupancy. 00~ •t Indicate scale
or distances. Give horizontal and vertical referen oir# . Irate slope. /
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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 knowledge and belief
Name (print) 3 r 4 f Certification No. /l
Address 40
Name of installer if known
CST Signatur
COPY A -LOCAL AUTHORITY
PLB-67 State and County State Permit #
f ~ + Permit Application County Per
?
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: '/4
Section T_ N, Ri (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township j.i
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 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) 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 ❑ 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
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.
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Do Not Write in Space Below - FOR COUNTY AND STATE DEPARTMENT USE ONLY
_
Date of Application JS-,Fr Fees Paid: State /5 .r e? Coe t 7` C Date ~5 - rJ
Permit Issued/R- (date) Jr Issuing Agent NaMt--, 4k
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