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REPORT OF P3IA1-,': r1Y Y tE.ATMENT consists of Septic TanK: Other (Describe)
SEPTIC TANK: Distance from: Well ft, , Lot Line ft, , wilding ft,.
Highwater Mark ft. 12% or greater slope ft. V etland ft.
Cistern ft. No, compartments Liquid capacity gal.
EFFLUENT DISPOSA L SYSTEM consists of Tile field Seepage Pit
Seepage it or Tile iy field: Distance from: VY ei 1 ft. Building ~jy' ft.
Lot Line ft. Ci stern ft. Eighwater Ma!^k,;.t)f water course ft.
S:.ope 12% or greater ii. W etl and ft.
Total length of tile 1 i nes,~)L"(,` ft. Number of lines.'' Length cf ,each
li.ne~~_ft. Distance between lines_/
CT.ft, V idth of t re,-~ch_ ~y
To`:ai effective absorption area of trench bottom 5 (esq. feet,
(J. filter material below the , 4'-h o` f' , er material over
l tile in. Cover over filter material~~
Depth of the below finished grade ^ in. Slo' oft rch bottom in.
c per 100 ft. Depth of bedrock - ft. Depth '~o ground water - _ft.
Number of Pits Out "e diameter ft. Depth below inlet ft.
Lining material Gravel around pit:. ves.
No. Total -2-6'S rption rea sq. feet.
Squa.re feet of seepage trench bottom area required
Squar e feet of sea. required
Inspected by:
-
Title: C-
I pproved Date 197
Rejected Date 197.
c-.
County, Town of
Owner(,~G- i
Sanitary Permit NY. 3 Property ddress~%~~
Septic Tank Permit No. P-3 ~ Subdivision
r- +
P I b 6 7 State of Wisconsin and County
Uniform Permit Application
for Private Domestic Sewage Systems
State Permit 'j 3 County Permit
Number Number
A. LOCATION OF PREMISE WHERE SYSTEM WILL BE CONSTRUCTED, ALTERED OR EXTENDED
LEGAL DESCRIPTION: Name One:
(Sec., Lot, Block) VILLAGE
/v uJ Al . /val N~ o? 7 TOWNSHIP
B. OWNER OF PROPERTY MAILING ADDRESS ~G1L TOE ,
Name (Str it Zl,f/~~
Al UG41 A f~,0
C. SEPTIC TANK CAPACITX 1~0U Gallons NEW INSTALLATION REPLACEMENT ADDITION
MATERIALS: Prefab Concrete Poured in Place Steel- Other ; No. of Tanks
D. TYPE OF OCCUPANCY
One or Two Family Residence No. of Bedrogrps~
70 e` 41SC D WW
Commercial Industrial Other No. of Persons to be Accommodated
(specify)
x "r
E. APPLIANCES, ETC.: Food Waste Grinder YES NO Automatic Clothes Washer YES NO
Dishwasher YES NO Other (Specify)
F. EFFLUENT DISPOSAL SYSTEM NEW _ EXTENSION ADDITION REPLACEMENT
Seepage Trenches: No. Lin. Feet Trench Width Depth Number of Lines
Seepage Bed: Length Width Depth Tile Size No. Lines
Seepage Pit: Inside diameter Liquid Depth
G. Percent of slope of land % direction
H. Indicate Slope of Land & direction of slope on sketch 1. Tile Depth
PERCOLATION TEST
Indicate Soil map number And Soil Type
Hours Water Test Time Drop in Water Level Inches Minutes
Test Depth Character of Soil Since Hole in Hole Interval Second to Next to Last To Fall
Number Inches Thickness in Inches 1st Wetted Overnight in Minu es L t Period Last Period Period One Inch
i
I.GU i
RECD DATA FROM MINIMUM OF 3 TEST HOLES IN THE AREA IN WHICH THE SYSTEM IS TO BE INSTALLED
S 0 1 L B 0 R I N G S- Minimum 36" Below Proposed Absorption System
Boring Total Depth Depth to Ground Water Depth to Bedrock
Number Inches Observed Estimated Observed Estimated Character of Soil with Thickness in Inches
RECORD DATA FROM MINIMUM OF 3 BORE HOLES IN THE AREA IN WHICH THE SYSTEM IS TO BE INSTALLED
(COMPLETE OTHER SIDE)
Name of Owner County Permit No.
PERCOLATION TESTS
I, the undersigned, hereby certify that the Percolation Tests reported on this form were made by me or under my supervision
in accord with the procedures and method specified in Section H 62.20 (3), Wisconsin Administrative Code, and that the data
recorean ocation of te st holes are correct to the best of my knowledge and belief.
NAMTITLE
(Type or Print)
REGON NO. or MASTER PLUMBER LICENSE No.
ADDRESS
DATE OF TEST SIGNATURE
MASTER PLUMBER MAKING APPLICATION MP
Signature: License Number: MP RSW
For: Provide sketch below of system
(employer) (Include direction and percent of slope and all applicable distances)
20' PLAN VIEW (Locate Percolation Test & Soil Bore Holes)
i
I ,
15'
,
10'
3
5'
1
0 - ;
,
5,
1
10,.
t
,
15'
i
20'
,
25'
. . m
PROR LE (Indicate Groundwater or bedrock where applicable)
,
1, _6 A
2,
3'
,
,
,
5'
I
3
6, 1
,
,
7,
,
,
E ,
8
91
, a
10,
11'
Note: The application cannot be considered for filing until all of the above questions are answered the-fee-pa-id .
-------------------------------------------------------------------------------------------------------------------------------and-
~o not ritee in space below - FOR DEPARTMENT USE ONLY
Date of Application Fees Paid State Z ""!-41 County
Permit Issued/Rejected (date Inspection Yes No
Issuing Agent Name alid No. Date Rec'd
DIVISION OF HEALTH, P.O. BOX 309, MADISON, WE 53701 - Revised 4-1-73
~rW~~a \ DEPARTNIENT OF NATURAL RESOURCES
L. P. Voigt
Secretory
BOX 450
MADISON, WISCONSIN 53701
i;ovemr>er 7, 1974 IN REPLY REFER TO: 74"93
oGul-Ed
P. 0. Box 184 $
Stillwater, Minnesota 55082
en ,
• `mow
Gentlemen
The Division of Environmental Standards has examined plans
for waste disposal facilities to serve the MoGul-Ed Laboratory
at I:udson, Wisconsin. Application for the approval was made
by Hr. Douglas Strohbe en, `aster Plumber, aoute 1, New Richmond,
and was transmitted to the Department for approval by Mr. Earold
C. Barber, !oning Administrator, St. Croix County. The plans were
received on November 4, 1974.
Presently, the laboratory which is locates, in the of. Section
27, St. Joseph Township, St. Croix County., discharges their
industrial waste to a septic tank soil absorption system. The
soil absorption system has not functioned properly which has resulted
in the effluent being discharged to the ;round surface. The two
septic tanks which are installed in series pr_ec0ing the soil
absorption system have a total capacity of 6,400 gallons. The
proposed plan provides for the utilization of the existing septic
tanks and the installation of a soil absorption system designed to
dispose 1,200 gallons per day of process waste water. The proposed
;oil absorption system will consist of five seepage trenches each
100 feet long and each having a width of 3 feet r-~hich will provide
royal disposal area of 1,500 square feet. The seepage trenches will
be installed on 10-foot centers.
The excavation and construction procedures for venting, sloping,
bedding and installing the seepage trenches shall be in accordance
with Section `i-62.20 of the Wisconsin Administrative Code.
The Wisconsin Pollutant Discharre_ Elimination System (T';PDES) permit
program provides that each facility w7 iich discharges eFfluent to
a land disposal system must apply for a ?,.!'DES permit. A perm.it
application is enclosed and should be filed with the Department
within 30 days.
Tiil~ !5 700`;': R-S.CYCI..ED PAPER
`IoGul-;:ei - 'Iover~ber 7, 1_974 2,
The plans are hereby approved in accordance with Section. 1:4.04,
Statutes, as attested by affizing on they: the stamp of approval,
umber 74-935, subject to the following conditions:
1. That the e„cavation and construction procedures for venting,
sloping, bedding and installin the seepage trenches shall be
in accordance with Section H62.20 of the Tisconsin Administrative
Code.
2. That the soil absorption system be expanded if it is found that
the proposed system is not capable of satisfactorily d i s )osV7 of the
entire waste volume.
3. That all strong wastes in encess of the normally produced wastewater
be w;thhc ii from Lii. l: proposed system.
4 That a competent resident inspector be provided during the course
of construction.
5. That the Department's !District Office in Eau Claire (1300 West
Clairemont Avenue, phone number 715-335-2021) be notified when the
construction of this facility commences and again when it is placed
in operation.
6. That the improvements be installed in accordance with the plans and the
above conditions, or subsequent essent=ial and approved modifications.
These plans have been reviewed in accordance with Section 144.04,
Wisconsin Statutes. Where necessary, the plans should be submitted
to the Department of Industry, Labor and tuman Relations or other
state or local agencies to insure conformance with applicable codes
or regulations of such agencies.
The Division reserves the right to order changes or additions should
conditions arise making this necessary.
~1 '.l l_n_ vii
This approval is not to be construed as a Department eter.
any provisions of a Wisconsin Pollutant Discharge Elimination Systela
permit or an opinion on the ability of the approved system to comply
with the effluent limitations in such a permit when issued.
In case installation of these improvements has not been actually commenced
within two years from date, this approval shall become void. After two
years, therefore, new application must be made for approval of these or
other plans before any construction worI, is undertaken.
MoGul-rd - Io,rember 7, 1.974 3.
By order of Oliver D. Willians, Acting, Administrator, Division of
Environmental Standards.
Paul P. Didier, P.E., Chief
Industrial Wastewater Section
Pureau of Pater !r,nlity
PPD:noe
Enc.
cc: Mr. Doug Strohbeen.
Mr. Harold Barber
West Central District
DTIIHR
Plumbing
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Parcel 030-2048-95-000 03/21/2007 03:39 PM
PAGE 1 OF 1
Alt. Parcel 27.30.20.510V 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 - LEVAKE, MARTIN,MADELINE &CHARLES
MARTIN,MADELINE &CHARLES LEVAKE
9300 PARK AVE S
BLOOMINGTON MN 55420
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description (L~ G j i 6 2
SC 2611 HUDSON TT
SP 1700 WITC / g 1 A/4 Legal Description: Acres: 8.190 Plat: N/A-NOT AVAILABLE
SEC 27 T30N R20W 8.19 AC IN GL 2 COM S Block/Condo Bldg:
LN GL 2 & INT E R/W HWY 64, TH NE ALG
R/W 825 FT, CONT ALG R/W E 301 FT TO PT Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
98 FT W OF E LN GL 2 TH S 110 FT, E 98 27-30N-20W
FT THS TO PT 300 FT N OF SE COR TH W 183
FT; S 120 FT; W 107 FT; TH S 180 FT TO S
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1165/622 WD
07/23/1997 1151/516 QC
07/23/1997 597/426 PJ0
2007 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 07/09/2004
Description Class Acres Land Improve Total State Reason
COMMERCIAL G2 3.190 142,300 70,000 212,300 NO
AGRICULTURAL G4 5.000 900 0 900 NO
Totals for 2007:
General Property 8.190 143,200 70,000 213,200
Woodland 0.000 0 0
Totals for 2006:
General Property 8.190 143,200 70,000 213,200
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
Parcel 030-2051-90-000 03/21/2007 03:46 PM
PAGE 1 OF 1
Alt. Parcel 27.30.20.522 030 - 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 - NEEDHAM DISTR CO INC
NEEDHAM DISTR CO INC
6080 LAKE ELMO AVE N
STILLWATER MN 55082
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description * 10 RAINBOW ST
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: 2111-HOULTON
SEC 27 T30N R20W PT GL 3 DESC AS COM Block/Condo Bldg: 1 LOT 8
1792 FT S & 1260 FT W OF NE COR NW 1/4,
TH W 100 FT, S 50 FT E 100 FT, N 50 FT Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
TO POB: BEING LOT 8 BLK 1 VIL HOULTON 27-30N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 451/630
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 05/31/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.000 25,000 42,900 67,900 NO
COMMERCIAL G2 0.000 25,000 42,000 67,000 NO
Totals for 2007:
General Property 0.000 50,000 84,900 134,900
Woodland 0.000 0 0
Totals for 2006:
General Property 0.000 50,000 84,900 134,900
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